Loading...
HomeMy WebLinkAbout0153 CHESTNUT STREET - Health 153 CHESTNUT STREETS HYANNIS A= r 1: 0 F 04/02/2016 20:30 FAX la001/001 Town of Barnstable Regulatory Services �O D 11,7 Thomas F, Ceiler, Dire ctor ector e�►ttNgr��, • '6 9. Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508.862.4644 Fax: 508-790-6304 Installer & Desianer'Certification Form Date: 1/04/06 Designer: Shay Environmental Services IncInstaller: Ca ewide Enterprises Address: P.O. Box 627 East Falmouth Address: P.O. Box 763 MA 02536 Marstons Mills MA 02632 On 12/30/05 Cauewide Enterprises was issued a permit to install a (dace) (installer) septic system.at 4153 Chestnut-Street, Hyannis;MA_based on a design drawn by (address) Shay Environmental Services Inc dated 12/29/05 (designer) �- XX I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed wi[h major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local regulations. Plan revision or certified as-built by designer to follow. OF CARNCiV aller's Signa ) E SHAY n No. 1'!81 SgN1TAatPN (Designer's Signature) L (Affix Design tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTff THIS FORM AND AS. BUILT CARD ARE RECEIVED BY THE 13ARNSTAB1 E PUBLIC HEALTH DI'VTSION. THANK YOU, Q:1lealthlSeptic/Designer Certification Form TOWN OF BARNSTABLE •�� LOCK T 1i:iiv S t'l 41,T SEWAGE # VILLAGE Afut:,rn!'l P S ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. &711-' u) 1(L SEPTIC TANK CAPACITY /S4U LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER Carha ��no� PERMITDATE: COMPLIANCE DATE: _ Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility NQ_ `Z Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching--facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist e within 300 feet of leaching facility) Feet Furnished by /9,p Ok 3 ys.s ���� L as•9 No. (Dv d' j Fee loo THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es ..PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpplitation for 3Mpoe;al 6p9tem Cutt.5tructiun permit Application for a Permit to Construct( ) Repair( ) Upgrade()4- Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 153 0%est vt.rr STre e t Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 30C( Installer's Name,Address,and Tel.No. 'Desi ners Name,Address and Tel.No. r"'"• � g �a�5-39 '7 cl Io� PO. 3 z b3 ar Type of Building: tt jj Dwelling No.of Bedrooms Lot Size �1 1� sq.ft. Garbage Grinder ( ) Other Type of Building 5 n�J�e No.of Persons Showers(K Cafeteria( ) Other Fixtures , il, Design Flow(min.required) ' Li O gpd Design flow provided `4`i '�Z gpd Plan Date I � 60 Number of sheets I Revision Date Title 153 Size of Septic Tank IS'01D Type of S.A.S. 2)O 5 C) Description of Soil _ D 1f]M Nature of Repairs or Alterations(Answer when applicable) N eLi t Jy0 $tq k 5- A.S Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has be 11 en issued by this Board of ealth. �. `3 Date �} '_Zpo Application Approved Date xr r3,V -0,5 Application Disapproved by: Date for the following reasons Permit No. p�� C� �"' Date Issued '� No. . 2A It W 4 DO Fee `" 1rgE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION - TOWNS' BARNSTABLE, MASSACHUSETTS 01ppYication for �Digaal *pgtem Con0ructfon Permit Application for a Permit to Construct( ) Repair( ) Upgrade 64. Abandon Complete System ❑Individual Components Location Address or Lot No. 153 CNe St a"'r sT re e-t Owner's Name,Address,and Tel.No. Assessor'sMap/parcel 3pC� �y-Z 13 CheSrn��' Sit�:e � rn Installer's Name,Address,and Tel.No. •CAPO-W'Ak 6���/�t'xS Designer's Name,Address and Tel.No. Type of Building: tt '' Dwelling No.of Bedrooms �"l Lot Size l sq.ft. Garbage Grinder ( ) Other Type of Building `�,nc4Q �Ay V/ No.of Persons Showers(x) Cafeteria Other Fixtures Design Flow(min.required) L4 44 p gpd Design flow provided 44 y CA ,9 Z _ gpd Plan Date 12L'�Jc�- 20�� Number of sheetsI Revision Date Title i 5 3 L\x QS t-✓i uT^ Size of Septic Tank 1`5'0!D Type of S.A.S. 3 o S O�S W.—IL ST41s1 _ Description of Soil "Nature of Repairs or Alterations(Answer when applicable) e.W t Jo0 S• A•S. r r � f i s Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance ,f the afore described on-site sewage disposal system in accordance with the provisions of Title 5`of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of ealth. At gne 4' Date Application Approved Date zn Application Disapproved by: Date for the following reasons Permit No. � Co 5 Date Issued IC51 -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ) Abandoned( )by e,40e.w�a f C-Aw O/. S L(. L at 1S3 (a�r o.ifYl u T' S has been constructed in accordance I with the provisions of Title 5 and e for Disposal System Construction Permit No. 5 b 5� dated /e�/3,2/.5 . Installer ( (— �Il l't S{ Designer /&tge" S YAK #bedrooms Approved design flow 44 9 • ! L gpd The issuance of this permitstall no be construed as a guarantee that the system wfll fun-are a s ed. Date "c 1D Inspector _. - -------------------------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS -..., PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 1 0i5pogar;�§pgtem Congtruction Fermat Permission is hereby granted to Construct ( ) Repair ( ) Upgrade (V Abandon ( ) System located at 1 6-3 C4esrn vT 5T. and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions.. Provided: Construction must b comply ed within three years of the d to of this pe Date ��/L Approved y 9/16/03 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM hereby certify that the engineered plan signed by me dated iZ 139A DS ,concerning the property located at IF l µ ESfity�T— S T• : I YA-Nr��5 meets all of the. following criteria: �R • This failed system is,connected to a residential dwelling only. There.are,no commercial or business.uses.associated with the.dwelling. • The soil is.classified as.CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or.may conduct deep test holes and percolation tests.at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. i • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the. Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) 40, o0 B) G.W.Elevation k Q +adjustment for high G:W.2,© __ Z. DIFFERENCE TWEEN A.and B ,t7 SIGNED : DATE: 0,S NOTICE Based upon the above information; a repair permit will be issued for bedrooms maximum.. No additional bedrooms are authorized in the future without engineered septic system plans. Zcx-1Q- C Z-e Via , gASep6c\percexemp.doc 04/02/2016 20:30 FAX la 001/001 Town of Barnstable Regulatory Services 1 Thomas F. Ceiler, Director , 3d? � � ,bs�. �# Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 1/04/06 Designer: Shay Environmental Services Inc. Installer: Ca ewide Enterprises Address: P.O. Box 627 East Falmouth Address: P.O. Box 763 MA 02536 Marstons Mills MA 02632 On 12/30/05 Capewide Euternrises was issued a permit to install a (date) (installer) septic system at 4153 Chestnut-Street. Hyannis.MA based on a design drawn by (address) ` Shay Environmental Services Inc dated 12/29/05 (designer) XX I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed wi[h major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local regulations. Plan revision or certified as-built by designer to follow. 4Jti C` �fftstaller's Signa ) E• "_4 SWAY N Flo. 1181 of STe s�NI TAR\ (Designer's Signature) (Affix Design tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION, CERTIFICATE OF COMPLIANCE 'WILT. NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABI✓E PUBLIC HEALTH DIVISION. THANK YOU. Q:IIealth/3eptic/Designer Certification Fom l COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL 2 DEPARTMENT OF ENVIRONMENTAL PRO ONE WINTER STREET,BOSTON MA 02108 (617) 29 0 �P VaLLIAM F.WELD O COXE Governor 6' ecretary ARGEO PAUL CELLUCCI 1`9+9>DA B STRUHS Lt. Governor sioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION 3 Property Address: 'iS Cyr ►� • Address of Owner: Date of Inspection: aI\i' 1L (If different) �?ca�c Syb Name of Inspector: M% A������ �m��,,s �%,.-kvk , Cam►VAS3 Company Name, Address and Telephone Number: 4TLANM%T , '1-104XeXA QM2.%, IL_ I?p.�� a�16y� `-kW;b VCr- I A,. 02eyc I CWb) CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: X Passes Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails 1 Inspector's Signature:l�� Date: a\,,XCj The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A] SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 11/03/95) A t. Prinlid nn Recwled Panay JV SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: I Owner: !! Date of Inspection:c; t B]SYSTEONDITIONALLY PASSES (continued) r" r CJ r level observed in the distributi box is due to broken o obstructed breakout or high static Ovate _ tSewage backup�or brea o g *6�pipe(s) or#due�to a broken, settled or uneven distribution box. The system w' pass inspection if(with approval of the Board of�Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced _ The system required pumping more than four times a year due broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF H LTH: Conditions exist which require further evaluation by t Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEA H DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEAL AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 f et of a surface water Cesspool or privy is within 5 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE OARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONIN N A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water pply. _ The system s a septic tank and soil absorption system and is within a Zone I of a public water supply well. _ The syste has a septic tank and soil absorption system and is within 50 feet of a private water supply well. _ The syst m has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water suppi well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates teat the we!I is free rom pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 p 3) OTHE (revised 11/03/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: Date of Inspection: DJ SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as de ned in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to de rmine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded r clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface aters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due t an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or availa a volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the Soil Absorption System, cesspool privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 f et of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a one I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. i Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. IfAhe well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria volatile organ oun g p ds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: / The following criteria apply to large systems in addition to the criteria above: The system serves a facility ith a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety a d the environment because one or more of the following conditions exist: the system i within 400 feet of a surface drinking water supply the syste is within 200 feet of a tributary to a surface drinking water supply the/sstem is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone II of a pubater supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 11/03/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: %S3 Clw..sTi.� SC" Owner: �a.cu�e.nuL�sT� Date of Inspection: '9A`ibk- Check if the following have been done: )� Pumping information was requested of the owner, occupant, and Board of Health. 'None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. I&A As built plans have been obtained and examined. Note if they are not available with N/A. K The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. &The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11/03/95) 4 l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: %z-Z& s-► Owner:Date of of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow: bW gallons Number of bedrooms: e Number of current residents: O Garbage grinder(yes or no):PO Laundry connected to system (yes or no):—Skf.S Seasonal use (yes or no):t-w-) Water meter readings, if available: Luau MfiS, Last date of occupancy: %Mal-4.N-'510 COMMERCIALIINDUSTRIAL: Type of establishment: Design flow:_gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: ss?J r P+2v--z-- �r��pzchoi� System pumped as part of inspection: (yes or no)_t�o If yes, volume pumped: aailons Reason for pumping: TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain)_ �aacyt �,� Lois\� APPROXIMATE AGE of all components, date installed (if known) and source of information: ���5 Sewage odors detected when arriving at the site: (yes or no) (revised 11/03/95) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: Date of Inspection: SEPTIC TANK:_ (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP—other(explain) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle/baffles, Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or ba Comments: (recommendation for pumping, condition of inlet and outleh of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) GREASE TRAP:_ (locate on site plan) Depth below grade: Material of construction: _concrete /etalP —other(explain) Dimensions: Scum thickness: Distance from top of scum to to/Of outlet tee or baffle: Distance from bottom of scu to bottom of outlet tee or baffle: Comments: (recommendation fo/feakage, ping, condition of inlet and ou_let tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence etc.) (revised 11/03/95) 6 TOWN OF BARNSTABLE LOCATION 0 151 —VAx163— 49-- SEWAGE # VP,LAGE V08 �MG ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER $E1kMFTDATE: C1� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 70 Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) t0l Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) tA Feet Furnished by V, A l c� 1 r N � i � � � � � ,_, -� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: Date of Inspection: TIGHT OR HOLDING TANK:_ (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP—other(explain) Dimensions: Capacity: Qallons Design flow: allons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal, evidence of so ds carryover, evidence of leakage into or out of box, etc.) PUMP CHAMBER:_ (locate on site plan) Pumps in working order:(yes or /condition Comments: (note condition of pump chambe pumps and appurtenances, etc.) r (revised 11/03/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: i%3 CVAA Owner: Date of Inspection: CA SOIL ABSORPTION SYSTEM (SAS): %4 (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number:—d,," Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) Sic T'Qv1-314� 'k 1a�-1 L`nuV-A CESSPOOLS: (locate on site plan) Number and configuration: CW0 Depth-top of liquid to inlet invert: D. Depth of solids layer:�•`I Depth of scum layer: n 4 Dimensions of cesspool: Materials of construction: CCOCAIa. Indication of groundwater: Wo II inflow (cesspool must be pumped as part of inspection) %-30 l C-'�JvrOeA i- aLL _ k-o %-V 1j . 1m) Comments: (note condition of soil, signs of hydraulic *allure, level of ponding condition of vegetation, etc.) I1 PRIVY:_ (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 11/03/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: NS% Owner: � ,��s` Date of Inspection:cA% SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' 973 DEPTH TO GROUNDWATER Depth to groundwater:_"! feet method of determination or approximation: y.Co � . 'k°a o I—L ':;�o�V � (revised, 11/03/95) 9 0RaRU MNALlY SCHEDULE 40 P.V.C. SECTION A A ALL OUTLET PiPEs PION THE iI7 l �~`�f r ,;'~ ~'' Niel "J, NOTE: ALL PIPES ARE TO BE 4" VENT PIPE (LD Least 24 Inches talQ 10' min. from Schedule 40 PVC w/Charcoal Odor Filter PROFILE VIER OF LEACHING SYSTEM DISTRIBUTION LEv+ raiBOAT LEAST FT tr °°"c�TE cam � f `1 ExistingFoundation house to septic tank eP t+onai4tC,ho TOP OF FOUNDATION= ELEV. 100.00 (Assumed) tank novas must be D-BOX cover moat be Not to SCOIe ��'• � ICNoaouts � _. e_�_• �`J �'f, � $ePRi� Nlthin 6 in. of finished rade 3-5.OUTLET r NeoY m tt •ithin 6 in. of Hnished grade z.c w r o�t • dude aver Septic Talc-99.00 Grad.over D-Box- 90.00 over SAS- 99.00�\--dada 2•b f/LI'- f/2• l/aehei Peasbws ""- i l /s•to f 1/2 IasMi am~Sbm SS' OUTLET , I 1Y iHLET i "N Si // ` { (senrfaS±l'• �"r'�,�o�? `� �,+, ti,adae• 4•PVC(CAPPED)fISPECM7N PORT Ti �\ - e• e" - ' } �^- S= 0.02 3 HOLE H-10 INSTALLED AND TO BE If1HIN 6'OF G -a' 2 4 y�,r t6 IST. BOX 3' Ma*mffn Cover Tap OF Slstem-t9ev=95 75 ra ,^',!<3 CilffMf O 15• NEW s-0.01 or Greater t5.5 4' - SCH. 40 Tf 1.75• -'`'� ioy� ,•,, ✓""+� 't e�'•',T �'}...� EXIST. PIPE � � 0 1,500 GAL. N t0. S. 0.01•Per foot FROM EXIST. FIIlINDATIOt ar SEPTIC TANK t j �]24 PLAN SECTION CROSS-SECTIONh0 m aDepth EffeaMvecaNCREIE tuL ran+or�TioNJ 5 11 H-10 C rn o - SidewaR Y`';.✓' v > rn ri 4 Units 2 7' - N 3 HOLE H-10 DISTRIBUTION BOX o M o, 6 in.of 3/4•-1 1/2" o o nN 3.5' B 3.5' NOT TO SCALE SYSTEM PROFILE compacted stone y o w > 4� 4' 4' rn oioosluauerahac. re7o0eMAvrEu,,�- 1 .� ` Not to Scale - °' 0 12. n 35' Effective vk►a, o Effective Length GENERAL NOTES 6 in.of 3/4•-1 1/2• o 0 SOIL ABSORPTION SYSTEM (SAS) compacted stone 1. Contractor is responsible for Digsafe notification, Verification of Utilities NOTE: ALL COMPONENTS MUST HAVE RISERS TO THIN 6" BELOW GRADE z GO MODEL 3050 (H-20 LOADING)/ SUMNER & DUNBAR and protection of all underground utilities and pipes. WI 2. The septic tank and distribution box shall be set Bottom of Test Pit = Elevation 87.00 (OR EQUIVALENT) level on 6" of 3/4"-1 1/2" stone. ♦obs. Groundwater - Test Hole 1 = None Observed NOTE: OVERALL HEIGHT OF INFILTRATOR IS 30" /EFFECTIVE HEIGHT IS 2e 3. Backfill should be clean sand or gravel with no stones over 3" in size. 4. This system is subject to inspection during installation PERCOLATION TEST 5 by Carmen E. Shay - Environmental Services, Inc. . The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan Date of Percolation Test: DECEMBER 28, 2005 and Local Regulations. Test Performed By. CARMEN E. SHAY, R.S., C.S.E. Results Witnessed By: WAIVER (BARNSTABLE B.O.H.) 6. If, during installation the contractor encounters any soil conditions or site conditions that are different SHAY ENVIRONMENTAL SERVICES, INC. from those shown on the soil log or in our design Percolation Rate: Less Than 2MPI ® 46" installation must halt & immediate notification be made to Carmen E. Shay - Environmental Services, Inc. 7. No vehicle or heavy machinery shall drive over the Test Hole Test Hole septic system unless noted as H-20 septic components. No. 1 No, 2 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. DEPTH SOILS E-EV. DEPTH SOILS ELLV, 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. 0 99•00 0 99.00 N/F GLADY'S HENLEY 10. All solid piping, tees & fittings shall be 4" diameter Loamy Loomy Sand sand Schedule 40 NSF PVC pipes with water tight joints. sa 10 Y nd 10 r Sand 11. Municipal Water is Connected to ALL OF The Residence and Abutting O"-g" A. 98.25 0•_g• A 911251 Properties Within 150 Feet. Loamy Loamy THE PROPERTY LINES ARE APPROXIMATE AND Sand Sand COMPILED FROM THE SURVEY PLAN GENERATED BY 10 YR 5/6 10 YR 5/6 • Be ,p4a WHITNEY & BASSET OF HYANNIS, MA 9-- 40• e• g-_ � ss.00 95.67 �02 ENTITLED "SUBDIVISION PLAN OF LAND IN BARNSTABLE, MA" Mod. M Sand Sand DATED NOVEMBER -1941 LC.0 12335-A x r 7/4 zs r 7/4 98----- AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN 48"-144" C, 67.00 -------------- 40'-144 G 6700 _________________________ ff SHOULD BE USED FOR NO PURPOSE OTHER THAN ------ --98 THE SEPTIC SYSTEM INSTALLATION. 26.5' EXISTING CESSPOOLS TO BE PUMPED OUT& LOT #90 TEST HOLE #2 REMOVED IF NECESSARY TO INSTALL SEPTIC COMPONENTS ELEV.= 99.00 NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE 35' FROM THE EXISTING CESSPOOLS TO BE DISPOSED 04 OF AS PER BOARD OF HEALTH SPECIFICATIONS. Failed D-Box '�.za-c. •. - 0:1 /Cesspool _LOT- 94_:: # THERE-ARE NO .WETLANDS ARE PRESENT WITHIN 200' OF THE .PROPERTY.. '`'=• �: 4" PVC Perc #1 Depth to Perc: 36" to 54" 99--- ------ ___ ASSESSORS MAP 309 PARCEL 142 Perc Rate= Less Than 2 MPI ----T 8 ------ LEGEND Vent Groundwater Not Observed I TEST HOLE #�------ ---------- ----99 No Observed ESHWT 1500 GALLON _--- ELEV.= 99.00 20• ADJUSTED H2O Elev. = None SEPTIC TANK f O PROJECT BENCH MAR 104X1 DENOTES PROPOSED TOP OF FOUNDATION SPOT GRADE 3-24•EXAM. ACCESS MANHOLES ELEV. = 100.00 (Assumed) x 104.46 DENOTES EXISTING EXISTIN SPOT GRADE . EXISTING 4 BEDROOM GARAGE pL PROPERTY LINE HOUSE INLET - -9 V D PROPOSED CONTOUR II�IET `/ `/t 99----- �\ 1 l ` fss I I -- - - -- THE ACCESS COVERS FOR THE SEPTIC TANK, 97 EXISTING CONTOUR DISTRIBUTION BOX AND LEACHING COMPONENT �\ I --I---------- LOT #89 � Imo__--- I - --99 LOT #93 T,T•T T T ••r _,,- SHALL BE RAISED TO WITHIN 6" OF •- - ::-:.;.t -_.:r:x-''~.--K: "•� r•;. .r-. FINISHED GRADE ----__ ---- i i ® DEEP TEST HOLE & STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS T I I PLAN VIEWON I ' PERCOLATION TEST LOCATION ALL TEE orbs LOTS #91 tfrL- #92 �` j ASPHALT i 6 FOOT STOCKADE FENCE 3-2e REMOVABLE COVERS " I DRIVEWAY I �11 12,3f7 Square Feet min.deaance ,13• LIFT I s tItIET tr mhT- 7'min Wet to outlet e. OUTLET IZ I f 00.UO I 1�.mhT-�- _ P LOT P LAN s -r E g ' 's-r ---- 1------------------ ba a... _ L1quW depth ; ASPHALT SIDEWALK I I - ASPHALT SIDEWALK _ - ____________________________________________�_______� _ - - OF PROPOSED SEPTIC SYSTEM UPGRADE ~� 98 ' ``. PREPARED FOR ----- ----------------____�=--- ----------------------- L to •1LY-O' "'- . 5 ------------------------------- -----------------------------98 K E I T H K AT E R M A N 8c L I N DA Z E N CROSS SECTION END-SECTION CHE AS' TN U T AS TR.E'E' T AT TYPICAL (H-10 LOADING) 1500 GALLON SEPTIC TANK (40 FOOT RIGHT of WAY) # 153 CHESTNUT STREET NOT TO SCALE H YA N N I S , MA Design Calculations r Ss PREPARED BY: Number of Bedrooms: 4 Equivalent to 440 Gal./Day M N tiG �1 E. AJ HA l Garbage Grinder: No E., Leaching Capacity Proposed: 440 Gol./Day Minimum HAY ENVIRONMENTAL SERVICES, INC. Septic Tank : - 2 x 440 Gal./Day = 880 USE NEW 1,500 GAL. Septic Tank. " o. SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch P.O. BOX 627 Bottom Area: 0.74 gal/sq. ft. x 420 sq. ft. = 310.80 gallons 0 20 40 50 o'sTE��` EAST FALMOUTH, MA 02536 Sidewall Area: 0.74 gal./sq. ft. x 188 sq. ft. = 134.12 gallons Providing: = 449.92 gallons SgNITAR�Pa TEL/FAX 508-539-7966 Use: (4) 3050 H-20 INFILTRATOR CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, SCALE: 1"=20' DRAWN BY: CES DATE: DEC. 30, 2005 (4' IN x T L) TO BE USED WITH 4' OF WASHED STONE ON THE SIDES AND SCALE: 1"=20' PROJECT#SD851 FILENAME: SD851 PP.DWG SHEET 1 OF 1 3.5' OF WASHED STONE ON THE ENDS.